Organization
GIFTED FUTURES MS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIM B (BILLING DIRECTOR)
(347) 977-7095
Entity
Organization
Contact information
Practice address
6040 I-55 NORTH FRONTAGE RD., JACKSON, MS 39211
(929) 466-1305
Mailing address
1255 E 31ST ST, BROOKLYN, NY 11210-4740
(347) 668-9113
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/02/2021
Last updated
06/16/2023
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